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The relatively new rural hospital that's saved the lives of people in my family and offered others the ability to spend their final day(s) / hour(s) of life close to home is on the chopping block. I just found out this morning that it may be closing, specifically cited as being due to medicaid cuts.
As far as I am aware, the next closest hospitals are going to add another 20 - 30 minutes or so to an ambulance ride for people in that area.
I think about the "widow maker" heart attack or the aftermath of the car accident that shouldn't have been survivable, and I wonder if those situations would have turned out differently if it took 20 extra minutes before starting surgery / treatment.
I also think about the ambulance rides that insurance increasingly considers "out of network" and thus people are on the hook for 100% of the cost. Those often charge by the mile. One way or another, things are going to be even more expensive for those folks.
I'm honestly surprised that this bill past without mass ads rejecting it by the hospital companies. A lot of companies who own and operate rural hospitals all over the nation got a lot of their income directly from Medicaid.